Provider Demographics
NPI:1740034784
Name:PATEL, RAVI KANUBHAI (MD)
Entity type:Individual
Prefix:DR
First Name:RAVI
Middle Name:KANUBHAI
Last Name:PATEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:44405 WOODWARD AVE. TRINITY HEALTH OAKLAND
Mailing Address - Street 2:GRADUATE MEDICAL EDUCATION DEPT.
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44405 WOODWARD AVENUE TRINITY HEALTH OAKLAND
Practice Address - Street 2:DEPARTMENT OF INTERNAL MEDICINE
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341
Practice Address - Country:US
Practice Address - Phone:248-858-6233
Practice Address - Fax:248-858-3244
Is Sole Proprietor?:No
Enumeration Date:2024-04-16
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program